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NPI 1639969801

NPI 1639969801 : HIGHER GROUND BEHAVIORAL HEALTH : FAIRFAX, VA

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General NPI Number Information
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    NPI Number           |    1639969801
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    Entity Type          |    Organization 
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    Legal Business Name  |    HIGHER GROUND BEHAVIORAL HEALTH 
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Dates
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    Enumeration Date     |    05/09/2025
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    Last Update Date     |    05/09/2025
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Provider Practice Location Address
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    Address Line         |    8280 WILLOW OAKS CORPORATE DR STE 600 
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    City                 |    FAIRFAX
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    State                |    VA
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    Zip                  |    22031-4516
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    Country              |    US
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    Telephone            |    703-679-7445
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    Fax                  |    540-675-4130
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Provider Business Mailing Address
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    Address Line         |    8280 WILLOW OAKS CORPORATE DR STE 600 
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    City                 |    FAIRFAX
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    State                |    VA
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    Zip                  |    22031-4516
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    Country              |    US
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    Telephone            |    703-679-7445
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    Fax                  |    540-675-4130
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Authorized Official
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    Title or Position    |    CLINICAL SOCIAL WORKER
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    Name                 |     CHRISTINE  MONPOINT MARSAN 
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    Credential           |    LCSW
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    Telephone            |    703-679-7445
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    1041C0700X
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    Taxonomy Name        |    Clinical Social Worker
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    License Number       |    
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    License Number State |    
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